Harmonized Indoor Residual Spraying capacity building
RBM Vector Control Working Group 15th Annual Meeting, February 3 – 5th 2020
Chadwick H. Sikaala Presentation outline:
E8 Architecture
Rationale for Regional Harmonized Capacity building
Regional Harmonized Indoor Residual Spraying Capacity building
Examples and Key Lessons learnt, recommendations E8 Architecture
3 Rationale for Regional Vector Control Capacity Building
• Limited information on perspective of Vector Control Implementation in different countries
• Difference in epidemiological profile and approach to implementation
• Variance in indicators collected and definitions
• Differences in approach to training of personnel
• Human resource (spray operator ; Supervisor ratio) and logistical challenges: Quality issues
• 2017 malaria upsurge in the region
• Emergency Ministerial meeting
• Elimination 8 Strategy: Acceleration Plan 2018 – 2020 Training of Trainers to Enhance Quality of IRS across the E8 Region:
• Regional Vector Control serves as a platform for Technical Assistance, coordination, Harmonization of activities & best practices sharing • Collaboration with partners (RBM & AFRO WHO)
• WHO provided 2 consultants (Development of manual and Training)
• Harmonized regional IRS training manual developed (Reference materials and consultations)
• Training conducted in South Africa • 32 participants ( All TWG & or representatives, E8 and 2 WHO consultants)
• Countries adoption of the harmonized training manual Indoor Residual Spraying in targeted districts of southern Angola (example of best practice adoption) • Through BMGF support an IRS decision map was developed (MIS 2017/18) • Initiative to target sources of infection along the border • Procurement of insecticides for Angola & Namibia co payment (MoU IVCC) • Standard Operating Procedures & guidelines for IRS revised (Environmental safeguards, IEC/BCC, transportation, Training of Trainers manuals) • Implementation
• Targeting 5 districts in Cuando Cubango (Rivungo, Dirico, Calai, Cuangar & Targeted IRS districts (Risk Map) : Southern Angola Menongue) • Estimated to spray ~ 73,000 structures protecting ~ 443,000 population • Training of Trainers (~246 supervisors ) & cascade trainings (~ 738 personnel) • Environmental compliance • Innovation for Storage and disposal (mobile units) facilities • Mobile unit cost ~$40 compared to ~ $ 2130 cost for the standard static wash bay Standard Wash bays New innovations: Mobile units Harmonized Vector Control Indicators
VECTOR CONTROL AND ENTOMOLOGICAL SURVEILLANCE SCORECARD
2018 Vector Control Activities Entomological Surveillance Quality Assuarnce and Policy 2018 Indoor Residual Vector seasonal Vector Species Vector resting Insecticide Insecticide residual Country Spraying Coverage Net Ownership Net Utilization Larval Survey and spatial IRM plan in place Country identification behaviour resistance effect (%) 1 distribution FRONT LINE Countries
Have collected and Have not collected Have not collected Have collected and Have collected and * < 80 % * 95 -100 % * < 80 % * 0 - 90 % * * * * * * IRM Plan in place A shared the data or shared the data or shared the data shared the data shared the data A
Have collected and Have collected and Have collected and Have collected and Have not collected IRM currently being * > 85 % * < 85 % * < 80 % * 0 - 90 % * * * * * * B shared the data shared the data shared the data shared the data or shared the data developed B
Have collected and Have collected and Have collected and Have collected and * > 85 % * Not Applicable * Not Applicable * 1 * * * * * Not Applicable * IRM Plan in place C shared the data shared the data shared the data shared the data C
D * Not Applicable * Not Applicable * Not Applicable * Not Applicable * Not Applicable * Not Applicable * Not Applicable * Not Applicable * Not Applicable * Not Applicable D
SECOND LINE Countries
Have collected and Have collected and Have collected and Have collected and Have collected and IRM currently being * < 80 % * 95 -100 % * < 80 % * 0 - 90 % * * * * * * E shared the data shared the data shared the data shared the data shared the data developed E
Have not collected * Not Applicable * 85 - 94.9 % * Not Applicable * Not Applicable * Not Applicable * * Not Applicable * Not Applicable * Not Applicable * Not Applicable F or shared the data F
Have collected and IRM currently being * 80 - 85 % * Not Applicable * 80 - 85 % * 0 - 90 % * Not Applicable * Not Applicable * * Not Applicable * Not Applicable * G shared the data developed G
Have collected and Have collected and * Not Applicable * Not Applicable * > 85 % * Not Applicable * * Not Applicable * Not Applicable * * Not Applicable * Not Applicable H shared the data shared the data H
Data Source: E8 Ministries of Health Key Lessons Learnt : Regional Indoor Residual Spraying Training of trainers
Observations: Key Challenges: • Best practices strengthens regional collaboration • Time constraints limitations • Harmonization and synchronization of key • Limited participation of partners activities • Lack of in-country adapted reference materials Data sharing key to regional harmonization efforts • • Review of process and results • Understanding of indicators key to success
Key recommendations: • Field feedback for future refining • Allocate more time and resources • Consultations of all partners and key players • Independent review and further recommendations • Translation and Online publication Acknowledgement
E8 NMCPs E8 TWG members WHO AFRO & RBM All partners that contributed